A long trek from the outskirts of the Baidoa in Bay Region brought the family here—to a new camp for displaced people called Booli Qaran, which, ironically, means “looted wealth of the state.”
It’s here that Oxfam’s partner, SAACID, has opened another center for community therapeutic care, or CTC, one of 14 the organization is now operating across the city. And it’s here that Sahro’s son, Ahmed, has been receiving care following months of sickness that left him increasingly weak.
“I really don’t know exactly what is wrong with him, but I think the problem is linked to hunger,” says Sahro. “This nutrition center is extremely important for us. Without it, hundreds of children would have already died from malnutrition.”
Implemented in partnership with Oxfam, the CTC program has been treating children since 2009. It is now admitting more than 3,000 malnourished children, like Ahmed, every week.
“We were displaced after drought killed all the animals we had. We had goats and some cattle; we also had a small farm which we cultivated in order to sustain our lives; but unfortunately there has been no rain at all, and this caused everything to die,” says Sahro.
“We endured a very difficult trip from Bay to Mogadishu, because we traveled on foot for almost 155 miles. I was carrying my sick child on my back, while my husband was carrying another child who is older than my youngest. We begged from Bay to Mogadishu—from district to district and from village to village, for food and water. In reality, we were very lucky to survive. We know of so many families who have lost relatives or children. We thank Allah, who has allowed us to come to Mogadishu together and survive.”
Opened on July 12, the Booli Qaran camp was established for rural families flooding the capital in search of food, services and employment. More than 5,000 people now live here in difficult conditions. The day after the camp opened, SAACID set up a CTC center, which, like the others it operates across the city, have been working hard to save lives.
Ambiyo, a mother of triplets, knows well how important the centers are. She brought her triplets—daughters Qaali and Naciimo, and son Abdirisaq—to one of them recently. Qaali was immediately referred to the SAACID’s outpatient therapeutic program section at the clinic, when she was found to be severely malnourished and in need of immediate treatment. Ambiyo notes that her daughter was in a state of complete frailty back then.
Her other 2 children—Abdirisaq and Naciimo—were placed into the supplemental feeding program section, which treats moderately malnourished children. As treatment has continued over two months, they have all been recovering.
“All of my triplets were weak, especially Qaali, who was so weak and sick and refused to breastfeed at all,” says Ambiyo. “The other two were weak and thin, but still breastfeeding. I was so worried that Qaali wasn’t going to make it. We were well received when I first came to the clinic and the nurses immediately said that they could help us.”
“Our daily life depends on what my husband earns with his work as a barber, and that is not enough for such a large family,” says Ambiyo. “I hope my triplets will recover from the sickness arising from malnutrition problems, especially Qaali who is the weakest. So far, so good.”
SAACID’s senior staff and management lived through the last great Somali famine of 1991-1992, and find this new crisis heartbreaking.
SAACID-Somalia’s Country Director, Raha Janaqow, said, “I had hoped to never see such a hell in Somalia ever again. Yet, here we are, 20 years later, having endured 20 years of statelessness and anarchy; having to see another generation of Somalis suffer and die of starvation. I have seen so much suffering, and still I weep. I no longer know where my tears come from. All we can do is keep helping as much as we can with the resources we have, and hope for a better time.”
]]>For days, a small team of local aid providers has been delivering essentials like tanks of clean water, sanitation and hygiene supplies, and cooking equipment to the shelters, expanding and complementing the National Civil Protection System. Their initial action was so swift that by the time the president declared a national state of emergency, thousands of displaced people were already benefiting from their work.
The aid workers are members of Salvadoran organizations, groups that are willing to put all their other work on hold when disaster strikes. And they are not just foot soldiers—they are experts, able to survey a shelter in the midst of an emergency and within hours get key relief materials delivered and water tanks installed that meet international standards for quality.
“There is this core of ten or fifteen people on the team who are working day and night,” says Karina Copen, Oxfam’s humanitarian program officer in El Salvador. “They’re so dedicated."
The core team on the ground is never entirely alone. All across the country, they are supported by community leaders who have been trained in the basics of caring for the public health needs of their people during emergencies. And they are backed by Oxfam.
For the past four years, Oxfam has led an effort to build the capacity of local Salvadoran communities, municipalities, and aid groups for handling emergencies like earthquakes and floods. Multi-day seminars and hands-on disaster simulations have helped transform the desire to help into hard-core expertise.
“In some ways, it would be easier to bring in a team of Oxfam specialists to do the work in emergencies,” says Copen. “But it wouldn’t be nearly as effective.”
“In a disaster, communities are the first responders,” she explains. “Before local or international aid agencies or government officials arrive, the affected communities need to make decisions and act.” So, training community leaders in the basics of public health—organizing shelters, maintaining sanitary conditions, and making sure people are drinking clean water—has been a top priority.
Training a core team of water and sanitation specialists has been even more labor-intensive, but everyone has benefited.
“In this emergency, team members have been able to come up with accurate technical assessments and then implement the response,” she says.
Confident in the team’s ability to handle the work on the ground, Copen and colleague Enrique García, Oxfam’s regional humanitarian coordinator, are able to focus on coordination.
The result: an effective and smooth-running disaster response that draws energy from its own success. “The people we’ve trained are not sitting around waiting for someone to tell them what to do,” says Copen. “They know how to help their communities, and they are stoked.”
Now that the rains have eased and the sun has appeared, everyone in the shelters is eager to go home.
But the emergency doesn’t stop here. In the region known as the Bajo Lempa, the floods struck harder than anyone had seen in many years. Towns and villages are still deep in muck, their wells contaminated and their latrines flooded.
Now, Oxfam and the team are turning their attention to making home communities safe. The most pressing need, says Copen, is potable water.
There’s more to face: food shortages may threaten the recovery. Forty percent of the corn crop and 77 percent of the bean harvest have been lost to the floods, and prices are shooting up already. Oxfam is exploring ways to address the most urgent needs.
After days of ceaseless work, Copen sounds tired but hopeful.
“I’m always moved by the commitment of our partners, but this time I was also moved by the communities. They’re organizing themselves. They haven’t slept. They’re tending to each other’s needs. And they’re going back to their homes to start again.”
Donate now to Saving Lives 24/7.
]]>Oxfam's work—whether helping Guatemalan women organize to fight gender violence, funding irrigation projects in Ethiopia, or standing with people in Darfur—is about building the resilience of local communities over the long haul. We cannot prevent shocks, but we can help our sisters and brothers access some of the same resources we have to cushion us when times are lean.
We cannot rush from crisis to crisis with short-term fixes. What more evidence do we need than what is happening in East Africa now? This is not the region's first famine, but imagine the headline: Africa's last famine.
“My friends,” comes the voice from the radio, “take your chairs to sit down and have some discussion about cholera now on your favorite show, ‘Some information about cholera.’”
If it is hard to imagine a show about a deadly disease as your favorite, that may be because you don’t live in rural Haiti. Here, among the beautiful mountains and broad rivers, people live with a frightening reality: it’s easy to catch cholera, and reaching the nearest clinic may take more time than you have.
Without treatment, cholera can be fatal within hours. But in rural Nippes province, what serves as a road may be the bed of a river that after heavy rains becomes a torrent. Or a footpath over steep mountains, where the rocks are sometimes covered in mud so slick that only the most sure-footed can navigate them. Where swift access to medical care is out of the question, cholera prevention takes on special urgency.
“There are some localities where we have to walk three to four hours to reach people. We use horses to go there,” says Jean Bassette, the Oxfam public health officer who hosts the show. “We can’t travel to remote areas every week, but with the radio program we can reach them easily.”
“Ti koze sou kolera,” as the show is called in Creole, invites listeners to call in. The discussions cover whatever cholera issues people want to talk about but usually focus on prevention and emergency treatment.
“If we don’t have oral rehydration salts—or sugar and salt to prepare them—what can we do?” asks one caller.
Stephanie Lormil, an Oxfam public health promoter who sometimes joins the show, explains that coconut water can be a stopgap solution, hydrating the person well enough to make the trip to the hospital.
Sensitive topics like social stigma enter in, as well.
“Treat people who have cholera with respect,” advises Bassette. “Do not humiliate them. People who have the disease need to be able to tell that to the community, and the community needs to support them by preparing oral rehydration salts and helping them get to the hospital. If people with cholera keep the information to themselves, there is risk to the whole community.”
Feedback on the show has been overwhelmingly positive. Local leaders in communities throughout the broadcast area often call in with thanks and congratulations, and people on the street have kind words for the show.
“When we first heard about cholera, we were scared,” says Jose Mira of Petite Rivière de Nippes, who cited the radio show as one of Oxfam’s successful public health efforts. “We didn’t want to live next to people who had cholera. But Oxfam helped us understand the phenomenon of cholera and gave us training. After that, it became easier. We are not scared of cholera anymore, because we know how to protect ourselves.”
Read more about Oxfam's cholera program in rural Nippes.
Donate now to Oxfam's fund for Haiti relief and recovery.
]]>The mega floods of last year would have challenged any government, but the emergency response led by Pakistani authorities saved thousands of lives. However, Oxfam has expressed concern about the pace of recovery and reconstruction, which has left millions of people unnecessarily exposed to another disaster.
Husna La Shari is one survivor who is struggling to rebuild her life in Khawand La Shari in Shikapur, Sindh. Her family and community were hit hard by the flooding last July. Husna has 7 children and an elderly husband. She is responsible for providing for her entire family as her husband is too old to work. Before the floods last July, she worked on fields farming and harvesting. But after the floods, the fields are no longer fertile and Husna is struggling to feed her family. Oxfam is working in Husna’s village providing latrines and rehabilitating water pumps. Husna took part in Oxfam’s Cash for Work program in her village, clearing rubble and cleaning irrigation channels in the fields.
“It was difficult for me before the flood and it is now more difficult for me as there is no farming or harvesting. We cannot cultivate the land here this year… PDI (Oxfam’s partner) came and gave us money for doing labor. We collected whatever remained of our houses and we put it all in one place and together we cleaned the village. My husband was not capable, so I did it, I earned the money. PDI gave us kitchen pots, blankets, quilts and buckets and we are thankful as they helped us a lot. I am still in trouble to get food. How will I feed my family?”
Around 37,000 people affected by the 2010 floods are still living in camps in Sindh alone; and across the country, many of those who have returned to their villages have inadequate housing, with some still living in tents. More than 800,000 families are still without proper homes and many flood defenses, such as river embankments, destroyed in last year’s floods, have not yet been properly repaired. This increases the likelihood of breaches in future floods. For example, embankments in Sindh province have reportedly been increased by only two or three feet rather than the recommended six feet.
Neva Khan, Head of Oxfam in Pakistan, said:
“Pakistan needs to act now. Investing in measures today that reduce the impact of disasters is essential to save lives and safeguard development gains in the future. It will ensure schools built with aid funds are not washed away and that farmers can keep the crops they have toiled over. A year after Pakistan’s mega floods it’s time we learned this lesson.”
For children in the Shikapur district of Sindh, playing an interactive game is one way to avoid the risk of illness which often comes in the wake of a natural disaster. Julia Moore, a hygiene promotor for Oxfam, teaches children basic hygiene activities such as washing their hands and faces and showing them how to use a latrine.
“Pakistan is a disaster-prone country and has been flooded 67 times since 1947. Climate change will only increase the threat of floods. But while floods and earthquakes are inevitable, widespread devastation is not. For years, not enough has been done to protect ordinary Pakistani men, women, and children from disasters before they strike.” Says Kahn.
Lives and scarce resources could be saved in the future if the Pakistan government, with support from international donors, invests more in measures to reduce the impact of disasters. This could include flood resistant housing, and effective early warning systems – especially at the village level. In order to implement these programs, more funding is needed for local authorities and organizations that play a frontline role in preparing for and responding to emergencies.
]]>As Pakistan faces another monsoon season and the likelihood of more disasters, the country is not prepared. Many factors which have hampered the relief and reconstruction effort are still present, such as an inadequate disaster management system and a lack of emergency relief co-ordination and leadership. These institutional challenges must be resolved as soon as possible. The government and donors need to invest heavily in measures to reduce disaster risks such as better early warning systems, flood control, and more resilient housing. They should also tackle the underlying social inequalities which leave people vulnerable to disasters through a pro-poor national development plan. Spending on risk reduction and preparedness not only saves lives and livelihoods but hugely reduces the economic impact of disasters.
]]>Unfortunately, that’s just what happened in September and October 2010. Abdoulaye N’Dao, a gregarious retired electrician with grey dread locks says the flooding in 2010 “was the most difficult compared to earlier ones… there was a lot more water.” He says his house had water up to his ankles in some of the rooms; he and his extended family of 25 people were bailing water out of the house and its courtyard for days. “Maybe crocodiles and frogs can live like that,” he says months later sitting in his now drier courtyard, “but not people.”
The heavy rains of 2010 triggered the fifth year in a row of serious flooding in Pikine, and capped off one of the rainiest years for Senegal since 1971. Dakar got a total of 20 inches, more than twice the normal amount of annual rainfall. Oxfam already was working with an organization in Pikine called Eau-Vie-Environnement (Water-Life-Environment, or EVE for short), and deployed $295,000 from Oxfam’s “Saving Lives 24/7 Fund” to help EVE respond.
The needs were urgent in Pikine: Oxfam and EVE estimated that 150,000 people in 3,600 families were badly affected, either completely displaced or living in flooded homes. With help from Oxfam, EVE planned an aggressive response, which included:
A fast survey of the worst-affected areas of Pikine, to identify families in the most need: EVE and Oxfam decided to focus its assistance on 2,812 families (roughly 30,000 people) primarily in seven of Pikine’s 16 districts.
Supporting 116 pumps, to remove water from 643 homes, 7 schools, and 18 mosques: EVE supplied fuel for pumps that moved more than a million cubic meters of water, which is something like 264 million gallons, enough to fill more than 400 Olympic swimming pools. This took 15,000 liters (about 4,000 gallons) of fuel. EVE worked with local authorities to help remove water from 228 roads in Pikine.
Removing waste: household garbage and other waste pose a severe health threat, so EVE supported the removal of 3,000 cubic meters (roughly 105,000 cubic feet) of garbage.
Delivering sand: to build up low-lying areas and shore up buildings at risk of being submerged, EVE delivered 10 truckloads of sand to each of seven districts in the city.
Promoting good hygiene: EVE distributed 2,806 hygiene kits with soap, bleach, clean buckets for storing water, mosquito nets, and water purification tablets. In follow-up visits, EVE estimated that 93.8 percent of the households it visited were using adequate methods to treat water, and that these and other measures likely helped reduce diarrhea cases from 3.12 percent of the households to 1.48 percent.
Direct financial support: With funds from Oxfam, EVE allocated 40, 000 CFA francs (about US$80) to more than 1,500 of the most severely affected households, so they could buy food, medicine, and clothing.
Abdou Diouf, the executive secretary of EVE, says Oxfam did not just provide some assistance during the crisis and then withdraw along with the flood water. “This is the first time since Pikine has experienced these floods, that an [international] organization has intervened during the flooding and has decided to continue intervening after the flooding,” he says during an interview in his office in Pikine in April. Diouf says EVE was able to use a small amount of money left over from a grant from Oxfam to deal with floods in 2009 to prepare for the 2010 rainy season. When the heavy rains hit in 2010, volunteer assessment teams were already in place and trained to take action.
Oxfam also is supporting EVE’s work in 2010 to help local governments to lobby for funding they can use to improve drainage systems, and keep the pumps running in chronically flooded areas of the city.
Diouf also says the cash transfers represented “… a revolution in our intervention this year. People really appreciated this; I had people coming to the office here to specifically thank EVE and Oxfam for the money.”
Each recipient got about 40,000 CFA francs, which is about US$85. It’s unusual for an aid organization to provide money instead of food, clothing, water, and other assistance. But it allows those affected by the flood to spend the money on what they need the most, rather than what an aid organization decides is best for them.
When Assiatou Niang got her cash, she immediately thought about food. “We had no food, so I bought a bag of rice,” she says. With 30 people living in the household, including most of her nine children as well as those of her injured sister, food was a priority. “I also needed cement to repair the house, and I needed money for daily expenses around the household.” Niang is 58, and recently widowed. The cash helped her feed her family and cover other expenses for about a month over the winter.
Distributing cash is also economically efficient, according to Isaac Massaga, Oxfam’s program officer based in Dakar. “If you distribute rice in a community, you are preventing the local dealers from selling their own stock,” he says. “By helping people access food in the local market, we also help suppliers, and at the same time it helps maintain the market.”
EVE and Oxfam found a credit union that supervised the distribution of the funds to only those with vouchers provided by EVE according to the results of its household surveys. EVE transferred more than US$130,000 to families in Pikine.
]]>The work of Oxfam’s partners in Japan now includes:
Oxfam America is accepting funds to support these and other efforts.
]]>"We are helping people who have walked for long days to reach the border, they are exhausted and in need of immediate assistance. Families in some poor border villages have been supporting refugees for months and have nothing left to give,” said Tariq Riebl, Oxfam's Humanitarian Manager in Liberia.
There are already more than 100,000 refugees who have fled to remote border villages in Liberia where Oxfam has set up water and sanitation facilities. The organization is working in transit sites in Grand Gedeh eastern Liberia and will be distributing essential relief to refugees, as well as helping families hosting refugees to restock dwindling food supplies.
Oxfam has flown in supplies for 70,000 people and will provide long-term support to local communities, many who have been generously helping refugees since the disputed election last November.
“This crisis has been kept in the shadows for far too long. Only now is the world recognizing the immense scale of the human suffering with more than one million people forced to flee their homes. Some have managed to make the difficult journey through the forest to some sort of sanctuary across the border in Liberia. We are getting aid to people who have fled but conditions for refugees are very difficult and we need a huge aid push to avoid a public health disaster,” said Riebl.
The full picture of the humanitarian crisis In Ivory Coast is yet to emerge, with close to one million people made homeless by the violence and insecurity hampering the few aid agencies operating in the country. Oxfam is sending in a team of experts this week to evaluate how to respond to the crisis, but the agency warns that any aid operation will be extremely difficult due to ongoing conflict.
“This aid operation will not be easy. Even when fighting ends, we know there will be months of work ahead to help people start to put their lives back together,” said Riebl.
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More than 100,000 people have already crossed the border from Ivory Coast to Liberia and are living in dire conditions in border villages. Unless more is done to get people to safe and serviced areas further inland, they risk being cut off as the rainy season approaches.
“People have fled violence and are now living with families in Liberia in remote jungle areas along the border,” said Oxfam spokesperson Caroline Gluck in Liberia. “When the rains come, we will not be able to reach them with aid because the whole area will become inaccessible. The clock is ticking to get people to safe and reachable areas.”
As the situation in Ivory Coast changes daily, more and more people are crossing the borders of neighboring countries in search of help. Oxfam warns that the potential influx of refugees over the weekend could make the humanitarian situation in Liberia much worse.
The rainy season, which is starting now, will make roads to remote villages along the border impassable.
“People are walking four or five days before crossing a river to reach safety,” said Gluck. “Fathers are carrying their young children on their backs through deep forest and surviving on raw vegetables.
“Some are sleeping 35 people to a room, forced to spend nights sitting up when it rains. There is a severe lack of food, shelter and medical care.
“Most people have fled their homes after armed men stormed their village. Communities in Liberia are generously supporting thousands of people but they don’t have the supplies to provide help any longer. Much more needs to be done to help people who have fled violence and are now stranded with very little.”
Oxfam is providing clean water to refugees in Liberia and will help families hosting refugees to restock diminished food supplies.
]]>Oxfam has rushed aid to Liberia, airlifting 50 tons of relief supplies—such as water tanks, drilling equipment, and sanitation facilities—to assist 70,000 people.
"The border areas are dangerous, and living conditions there are desperately poor," says Chals Wontewe, Oxfam's country directory in Liberia. "There is an urgent need for transportation to help refugees move to camps further inside Liberia, where food and shelter can be safely provided. This needs to happen before the rainy season and further refugee flows make the challenge even harder."
Most refugees are staying with host families near the border, but conditions are dangerously inadequate, with most lacking adequate shelter, clean water, and basic sanitation. Oxfam will provide seeds and agricultural support to host families who by aiding refugees have jeopardized their own food security.
Donate now to Oxfam's Ivory Coast/Liberia Refugee Crisis Fund.
]]>We are providing funds to organizations in Japan that can assist people who might otherwise have difficulty accessing government aid. Migrant workers and immigrants, for example, who don’t speak Japanese. We’re also funding a partner focused on assisting nursing mothers and their babies. As the disaster response evolves, we'll continue to identify Japanese partners who can address unmet needs on the ground.
The Japanese government is a world leader in humanitarian preparedness and response, and it is carrying out a huge aid effort involving its armed forces, police, firefighters, and local authorities. We’d like to complement that work in whatever ways we can. But our particular expertise involves delivering clean water and sanitation facilities, and in Japan—where there are good water and sewage systems and enough water engineers to repair those that are damaged—it is unlikely that our help will be needed. There are clearly serious obstacles to getting supplies to people in need, but the government is in a better position to handle those difficulties than most outside agencies would be.
Oxfam doesn’t have a role in a nuclear catastrophe. The corporate and government authorities who are responsible for the power plants need to take full responsibility for preventing and responding to radiation releases.
When the earthquake struck, there were systems in place to warn people and protect them from what was coming, but the power of the events that followed went beyond everyone’s imagination.
What really amazes me is that a 9.0-magnitude earthquake has struck a densely populated island country, and people are not even talking about it. Clearly it triggered a tsunami and a nuclear crisis that have had far-reaching effects, but there’s very little mention of direct damage from the earthquake itself. I think that when all is said and done, Japan’s earthquake preparedness—such as its strict building codes—will turn out to have had a very positive effect.
There is no time when poverty, vulnerability, and exclusion become so apparent as at the moment of an emergency. So often, the people who suffer the deepest losses in an event like an earthquake or cyclone are the ones who couldn’t afford to live in a safe house in a safe location. When Oxfam sets out to help a community recover from a disaster, we look for opportunities to help its most vulnerable members make long-term improvements in their social and economic conditions.
When the world is hurting, you want to do something. In this case, Oxfam won’t mount a major humanitarian response, but I’m glad we’re able to offer our solidarity and support to the people of Japan.
]]>All over the world, Oxfam is responding to disasters, rushing clean water and other resources to survivors. But we are carrying out no such effort in Japan. Why?
Unlike many countries around the world, Japan has had both the means and the will to invest seriously in disaster preparedness and response. The government can deliver large amounts of aid as quickly as the conditions on the ground permit, calling for specific outside resources (such as more search-and-rescue teams) as needed. So far, Oxfam’s particular expertise in emergencies—including delivering water and sanitation facilities—has not been required.
But in every humanitarian emergency, there are those who struggle to get access to the help they need. Oxfam Japan is channeling funds to local organizations that aim to fill some of the gaps in aid—providing a hotline for non-Japanese speakers like migrant workers, for example, and assisting nursing mothers. Oxfam America is accepting funds to support their efforts.
“Oxfam is an agency focused on poverty and rights, and we prioritize the needs of women in emergencies,” says Michael Delaney, Oxfam America’s director of humanitarian response. “Thanks to the strong foundations laid by the Japanese people, our role in this emergency will be small, but our hearts go out to everyone affected by the disaster.”
]]>Oxfam staff in Tokyo say that, though they have experienced many earthquakes, they have never seen buildings shake the way they did on Friday. Aftershocks and rolling blackouts are keeping the population weary, while the threat of a nuclear meltdown is looming.
Oxfam has been ready to assist but is not launching a major humanitarian response at this time. We usually focus our resources on communities where governments have been unable—or, in some cases, unwilling—to provide for their people. But the Japanese government has a tremendous capacity for responding in crises, and a clear commitment to using its resources to the fullest.
And—particularly in the midst of a nuclear crisis—we do not want the demands of coordinating the work of outside aid providers to draw on the resources of the government.
Nevertheless, in emergencies there are always communities that fall below the radar and cannot easily access humanitarian relief. Barriers of language or residency status, for example, can have tragic consequences at times like these.
“The Japanese state has the means to reach 99% of the population,” says Oxfam Japan Executive Director Akiko Mera, “but there will always be some who need more specific assistance.”
During the coming weeks, Oxfam Japan will channel resources to local organizations that can connect vulnerable groups with the assistance they need. Oxfam America is accepting funds for those and other efforts.
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